In assessing an elderly client, which observation raises concerns about possible neglect?

An unusual amount of anxiety in an elderly client can indicate possible neglect. Anxiety levels that are significantly elevated may be a response to an environment where the individual's emotional and physical needs are not being adequately met. This could result from lack of proper care, social isolation, or unresponsiveness to the individual's well-being. The emotional distress reflected through heightened anxiety can suggest that the client feels unsafe or unsupported in their living situation, which can be a red flag for neglect.

In contrast, options that illustrate positive outcomes, such as a consistent grooming routine or regular doctor visits, typically indicate that the client is receiving adequate care and attention. Additionally, weight loss accompanied by a good appetite might seem contradictory, as weight loss generally suggests inadequate nutrition or care, so it does not indicate neglect as strongly as anxiety would. Each of these observations can provide insight into the client's overall situation, but the presence of heightened anxiety is particularly telling and can be a significant indicator that a deeper issue such as neglect may be present.